Checkout

First name *

Last name *

Company name (optional)

Country/Region *New Zealand

Street address *

Flat, suite, unit, etc. (optional)

Town / City *

Region (optional) Select an option…NorthlandAucklandWaikatoBay of PlentyTaranakiGisborneHawke’s BayManawatu-WanganuiWellingtonNelsonMarlboroughTasmanWest CoastCanterburyOtagoSouthland

Postcode *

Phone *

Email address *

Your Dogs Details

Dog's Name *

Dog's Breed *

Dog's Sex: * Select optionFemaleMale

Is Dog spayed or castrated? * Select optionYesNo

Dog's date of birth (month and year is important, any day is fine). If unknown, please approximate age (dd/mm/yyyy) *

Dog's council registration number. If unknown, please state why. *

Dog's date the next is vaccination due. (You will need to provide proof of vaccination on the first day of term) *

Is it your first enrolment with this dog in our club? (optional) Select optionYesNo

If you were enrolled with this dog before, please provide the information about the level you completed and the year it was completed in (optional)

Are you repeating the course that you were not able to complete or did not pass the assessment? (optional) Select optionYesNo

We sometimes take photographs for our Facebook Page, Newsletter and for publicity of the Tararua Allbreeds Dog Training Club. Are you happy to be included in these photographs? * Select optionYesNo

Please check this box to confirm that the information you provided is true and correct *

Please check this box to confirm that you have read, understood and agree to keep your dog fully vaccinated and abide with: TADTC rules and City Council Bylaws *